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One doctor. 25 deaths. How could it have happened?

One doctor. 25 deaths. How could it have happened? Healy J, Farr I, Feiger L, Duffy C. New York Times. October 11, 2019.

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October 30, 2019
Healy J, Farr I, Feiger L, Duffy C. New York Times. October 11, 2019.

Systemic failures persistently undermine processes meant to keep patients safe. This news story discusses a case involving unexplained patient deaths under the care of one physician and how protections such as automated medicine cabinet overrides, practice audits and reporting and feedback mechanisms were not adequately used to surface criminal behavior. 

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One doctor. 25 deaths. How could it have happened? Healy J, Farr I, Feiger L, Duffy C. New York Times. October 11, 2019.